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Total Fee: $ Date Received: <br /> Entered By: Permit #: D Z/&5 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) ,OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 130 Nc, rc P• LtJ ZIP: 'i 53-I <br /> NAMEOFOWNER: (,yAcrerL. PHONE: (home) 1/72-01YJ- <br /> (work) <br /> MAILING ADDRESS: j 1&2 No r�h crc Jr CITY: jmovdj ZIP: 553,W <br /> CONTRACTOR: PHONE: I/7Z—Li L[SS <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: 1/.�C �� . tl,S c c4r CITY: t3a6,�,ejc4 ZIP: t !ice <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER:� �-� PHONE: <br /> MAILING ADDRESS: a5Z- $73- 4 6V CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New )l Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ,(;'�c�;C�(°,(>e3 0 <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in accordance with 4proved plan. <br /> APPLICANT'S SIGNATURE: `' DATE: 3 <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />